20020756.pdfDATE RECEIVED
CITY OF EDMONDS
USEE
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PERMIT II/ew -
NUMBER"
CONSTRUCTION PERMIT APPLICATION
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JOB EBB
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OWNER NAMIDNAME OF Dust
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NAMEISUBDIVISION No.
LOT 110,
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PUBLIC RIGHT OF WAY PER OFFICIAL
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REQUIRED DEDICATION_
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ADDRESS
REMARKS
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OWNERMON RACTOR RESPONSIBLE
FOR EROSION CONTRO DRAINAGE
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NAME
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ALLOWED PROPOSED
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REQUIRED SETBACKS (Fr.) PROPOSED
FRONT S7 7
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SETBACK$ (FT.)
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KING LOT AREA
FRO PROVIDED
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DESCRIBE WORK TO BE DONE
PROGRESS INSPECTIONS PER USC 108/FINAL
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INSPJECTION REaD
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PLAN CHECK NO: VESTED DATE
Plumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY.
2 DOMAIN ANY CONSTRUCTION ON THE PUBLIC
(CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, MIWILLREQUIRE
7,.dn;
Recording Fee
SEPARATEPERMISSION.
—
Engr. Review
City Surcharge
PERMITAPPLICATI N: INDAYS
PERMIT UMm, YEAR. PROVIDED WORK IS STANTED WITHIN 160DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge -
"T HA
'APPLICA ON BEHA F OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS'WASHINGTON ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGEB OF WHATEVER NATURE, ARISING DIRFCT1Y OR INDIRECTLY
Fire Review
Receipt #
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF T41S PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
—
Landscapainsp.
Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN 13 CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC.
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
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IN fON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
BUIRIft Offid-I -1 hillh., D.P.Y:..d F....r. p.idd
FOR INSPECTION
WORKMEN'SDQ�WkNSATJON INS 311.17.
14LS SIGNATURE
SIGVT FIE((OWNEWO DATE SIfNED
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(425)
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7 1 0220 -IN
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A "ENTION
EXT 1333
UN
IT III UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A
771-0221
F AL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
C T At
AT OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIG HAL - FILE YELLOW - INSPECTOR
FAX
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IMPERVIOUS WRFACE
1 EXIST, MIDENCE:
(CONSTRUCTED 2002) 4251 SF
EXIST. DETACHED 6ARA6EI
(C-ONSTRLICTED IlrI5) 11,11 SF
EXIST. DRIVEKAY,
(CONSTRUICTED 1413) 5216 SP
PROPOSED ADDIT10% 0 SF
PROP05EV OECK� 0 5F
PROP05ECI COVERED PORCH, 0 5F
CRAPINQ2
PROPCGED CVT� 0 cu. YOS.
WIGHT ANALYSIS
ELEVATION AT (A) 105AP
ELEVATION AT 0) l0q.-211'
ELEVATION AT (0) IM.71V
ELEVATION AT (0) 106.1
AV5. 6RAVE� 10&.16"
MAX, HEIGHT� 125.16'
EXISTIN65
ORIVEKAY
',*Evi T.Ru65w Roor
q56 sp,
AVO.,GRADt: [Ob.16'
ZONE
SETBACKS:
FRON,T�
SIDE
REA
071- �Efl
HEICOH I
NOTE, EAVES MAY
PR0,15OT 50" MAX
INTO REO-O SEMACK
VLT FENCE ISEE
DETAIL IlCi)
NOTEt CONTRACTOR
EXISTIN6 10 TO VERIFY LOCATION
,DRIVEKAY AND DEPTH OF UTILIT
LINES KITH CITY OF
EDMONDS PRIOR TO
CONSTRWTION
A
PROJECT INFORM I t4
KEN 4 rAROL NELSON
PROJErT ADDRESS,
150 - 12th PLACE NORTH Al"
EDMONDS W6HINOTON -0020 P.010.5...
MaIONM LAND VSE ZONE� ARCHITECT$
LEISAL DES' RIPTION
MAPLENOOD VILLAE51! NO. 1. BLOCK 000, 0-01, THE PORTION l2th PLACE NORTH
OF LOT 15 LYINIS, NORT14ERLY Or A LINE RUNNIN6 N66'1054'K
FROM A POINT ON THE E LINE Or SAID LOT. THIS 15 WO'34'45E
25.45 FT FROM HE CORNER OF SAID LOT AND LOT 14.
NORTH
SITE PLAN
a NELSON GAMGE
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CITY COPY BUILDING
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RE51DENCE
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .................
FOUNDATION:
Footing ......................
wall .............. I ...........
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground
Rough -in .............
Commercial Final
HEATING:
Gas Test ....................
Piping .................
Equipment . .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ..................
FIRST FLOOR FRAMING
INSULATION
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
All,